3,843 results match your criteria Myofascial Pain


Low-Intensity Continuous Ultrasound for the Symptomatic Treatment of Upper Shoulder and Neck Pain: A Randomized, Double-Blind Placebo-Controlled Clinical Trial.

J Pain Res 2020 2;13:1277-1287. Epub 2020 Jun 2.

Medical Pain Consultants, Dryden, NY, USA.

Purpose: Low-intensity continuous ultrasound (LICUS) is an emerging high-dosimetry ultrasound-based therapy for accelerated tissue healing and the treatment of myofascial pain. In this study, LICUS treatment is clinically evaluated for chronic upper neck and shoulder pain in a randomized, multi-site, double-blind, placebo-controlled study.

Patients And Methods: CONSORT guidelines were followed in conducting and reporting the clinical trial. Read More

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http://dx.doi.org/10.2147/JPR.S247463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287226PMC

Preoperative Osteopathic Manipulative Therapy Improves Postoperative Pain and Reduces Opioid Consumption After Total Knee Arthroplasty: A Prospective Comparative Study.

J Am Osteopath Assoc 2020 Jul;120(7):436-445

Context: Pain is a therapeutic challenge after total knee arthroplasty (TKA), and it could lead to the overuse of opioids. Few methodologically robust clinical studies have been performed to assess the effectiveness of osteopathic manipulative therapy (OMTh; manipulative care performed by non-US-trained osteopaths) for postsurgical pain.

Objective: To evaluate the effectiveness of standardized preoperative OMTh on early postoperative pain and opioid consumption after TKA. Read More

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http://dx.doi.org/10.7556/jaoa.2020.071DOI Listing

Botulinum toxin injection for chronic pelvic pain: a systematic review.

Acta Obstet Gynecol Scand 2020 Jun 29. Epub 2020 Jun 29.

Department of Obstetrics and Gynecology, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Introduction: Botulinum toxin has proven therapeutic effects in alleviating pain in several myofascial disorders, with an expanding potential in chronic pelvic pain. The objective of this systematic review is to evaluate the efficacy and safety of botulinum toxin injection as an off-label treatment for female chronic pelvic pain.

Material And Methods: Using PRISMA guidelines, MEDLINE, EBM Reviews, PubMed, CINAHL, TRIP Database, EMBASE, Web of Science and gray literature were searched. Read More

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http://dx.doi.org/10.1111/aogs.13946DOI Listing

A Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome.

Curr Pain Headache Rep 2020 Jun 27;24(8):43. Epub 2020 Jun 27.

LSUHSC School of Medicine, Department of Anesthesiology, Shreveport, LA, USA.

Purpose Of Review: Myofascial pain syndrome (MPS) is a musculoskeletal pain condition that stems from localized, taut regions of skeletal muscle and fascia, termed trigger points. The purpose of this comprehensive review is to provide updated information on prevalence, pathophysiology, and treatment modalities with a focus on interventional modalities in managing MPS.

Recent Findings: Though MPS can present acutely, it frequently presents as a chronic condition, affecting up to 85% of adults during their lifetime. Read More

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http://dx.doi.org/10.1007/s11916-020-00877-5DOI Listing

Benefits, Safety, and Adjunct Modality Prevalences of Long-Term Botulinum Toxin Injections for Cervical Dystonia and Myofascial Neck Pain: A Retrospective Cohort Study.

J Pain Res 2020 3;13:1297-1304. Epub 2020 Jun 3.

Canadian Centre of Integrative Medicine, Toronto, ON, Canada.

Introduction: There is a paucity of long-term treatment benefit and safety data of botulinum toxin A (BTX-A) for cervical dystonia (CD) and myofascial neck pain syndrome (MPS). Additionally, the prevalence of adjunct modality uses during this period is unknown despite evolving practices.

Objective: To assess and compare treatment benefit, safety, and adjunct modality prevalences of long-term BTX-A injections between CD and MPS patients. Read More

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http://dx.doi.org/10.2147/JPR.S254032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276373PMC

Treatment of Temporomandibular Joint Disorders by Ultrashort Wave and Extracorporeal Shock Wave: A Comparative Study.

Med Sci Monit 2020 Jun 21;26:e923461. Epub 2020 Jun 21.

Department of Rehabilitation, The First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China (mainland).

BACKGROUND This study was carried out to compare the therapeutic efficacy of extracorporeal shock wave (ESW) and ultrashort wave (UW) for temporomandibular joint disorder (TMD). MATERIAL AND METHODS A total of 80 patients with myofascial pain and TMD were enrolled in this study. The subjects were randomized to receive ESW or UW treatments. Read More

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http://dx.doi.org/10.12659/MSM.923461DOI Listing

Non-Odontogenic Odontalgia Referred from the Temporal Tendon: A Case Report.

J Endod 2020 Jun 16. Epub 2020 Jun 16.

Orofacial Pain Residency Program Director, Naval Postgraduate Dental School; Assistant Professor of Orofacial Pain, Uniformed Services University of the Health Sciences Postgraduate Dental College, 8955 Wood Rd, Bethesda, MD 20889. Electronic address:

Introduction: Temporal tendonitis (TT) is an orofacial pain disorder that can refer pain to the maxillary and mandibular molars, temporomandibular joint, masticatory muscles, eye, or ear. Patients often present to a dentist or physician with complaints reflecting these referral patterns, yet many healthcare providers are unfamiliar with TT due to the scarcity of literature published on this clinical entity. This may lead to diagnostic confusion, iatrogenic harm, and prolonged patient suffering. Read More

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http://dx.doi.org/10.1016/j.joen.2020.06.006DOI Listing

Endocannabinoids release after Osteopathic Manipulative Treatment. A brief review.

J Complement Integr Med 2020 Jun 18. Epub 2020 Jun 18.

Department of Biomedical and Biotechnological Sciences, University of Catania and Research Center on Motor Activities (CRAM), University of Catania Torre Biologica, Via Santa Sofia, 89, 95123, Catania, Italy.

Objectives Since 70's, scientific research has analyzed how many acute and chronic issues can affect body systems. In case of depression, chronic pain and overtraining, centrals and peripherals systems act to manage and maintain body adaptations. The aim of this study is to evaluate if the osteopathic treatment can increase the release of Cannabinoid receptor (CB) and promote the linkage with their receptors. Read More

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http://dx.doi.org/10.1515/jcim-2020-0013DOI Listing

Graded exposure and orthopedic manual physical therapy for kinesiophobia and function in chronic temporomandibular dysfunction: A case report.

Cranio 2020 Jun 18:1-14. Epub 2020 Jun 18.

Department of Rehabilitation Services, University of Illinois Hospital and Health Sciences System , Chicago, IL, USA.

Background: This case report describes the successful use of multi-modal physical therapy (PT), including orthopedic manual physical therapy (OMPT) and graded exposure, in a patient with chronic temporomandibular dysfunction (TMD).

Clinical Presentation: A 41-yr old female presented with a five-year history of bilateral chronic myofascial TMD and comorbid neck/right arm pain. The patient was treated for 12 weeks with a focus on OMPT and graded exposure. Read More

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http://dx.doi.org/10.1080/08869634.2020.1779483DOI Listing

Efficacy and Safety of Botulinum Toxin Type A on Persistent Myofascial Pain: A Randomized Clinical Trial.

Toxins (Basel) 2020 Jun 15;12(6). Epub 2020 Jun 15.

Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Sao Paulo 13414-903, Brazil.

This study assessed the safety and efficacy of three different doses of BoNT-A for persistent myofascial pain (MFP). One hundred female subjects were randomly assigned into five groups ( = 20): oral appliance (OA), saline solution (SS) and three BoNT-A groups with different doses. Pain intensity and pressure pain threshold were evaluated up to 24 weeks after treatment. Read More

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http://dx.doi.org/10.3390/toxins12060395DOI Listing

Various diagnostic possibilities for zygomatic arch pain: Seven case reports and review of literature.

World J Clin Cases 2020 Jun;8(11):2294-2304

Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, Seoul 03080, South Korea.

Background: Pain of the zygomatic arch region is common among patients with orofacial pain, especially in those with temporomandibular disorder-related pain of a myogenic origin. Since zygomatic arch pain may occur due to various causes other than muscle pain, appropriate diagnosis and treatment planning is essential to ensure its successful management. Unfortunately, zygomatic arch pain has not been handled as an independent clinical feature until now, and studies have mainly focused on pain resulting from trauma and surgical procedures. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i11.2294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281041PMC

Effects of dry needling technique into trigger points of the sternocleidomastoid muscle in migraine headache: A randomized controlled trial.

Am J Phys Med Rehabil 2020 Jun 15. Epub 2020 Jun 15.

Professor, Clinical Sciences Department & Pediatric Neuro-Rehabilitation Research Center, University of Welfare & Rehabilitation, Tehran, Iran.

Objective: The study aimed to investigate the effect of dry needling (DN) into trigger points of the sternocleidomastoid muscle in migraine headache patients.

Design: Forty subjects with a migraine headache, originating from myofacial trigger points into the sternocleidomastoid (SCM) muscle (20 subjects in DN group and 20 subjects in control group) volunteered to participate in this study. The subjects in the treatment group received three sessions of dry needling in the myofascial trigger point region. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001504DOI Listing

Prevalence and clinical characteristics of patients with oromandibular dystonia seen in the orofacial pain clinic: a retrospective study.

Oral Surg Oral Med Oral Pathol Oral Radiol 2020 May 17. Epub 2020 May 17.

Division of TMD & Orofacial Pain, Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA; Department of Neurology, Medical School, University of Minnesota, Minneapolis, MN, USA; Health Partners Institute for Education and Research, Bloomington, MN, USA. Electronic address:

Objective: The aim of this study was to describe the prevalence and clinical characteristics of patients with oromandibular dystonia (OMD) presenting to an academic orofacial pain clinic. OMD diagnosis was based on clinical signs and symptoms, presenting in varied forms and severities. Knowledge of clinical characteristics would help in early diagnosis and treatment of OMD. Read More

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http://dx.doi.org/10.1016/j.oooo.2020.05.002DOI Listing

Profile of acupuncture use among primary care physicians working in the Brazilian public healthcare system.

Acupunct Med 2020 Jun 15:964528420912250. Epub 2020 Jun 15.

Integrative Medicine and Acupuncture Service, University Hospital, Federal University of Santa Catarina, Florianópolis, Brazil.

Background: An introductory acupuncture course has been offered to primary health care physicians and family medicine residents in southern Brazil since 2011.

Objective: To analyze the profile of acupuncture utilization of primary care physicians who completed an introductory course of acupuncture between 2011 and 2018.

Method: A survey using an electronic questionnaire was sent to all 119 physicians who completed the course. Read More

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http://dx.doi.org/10.1177/0964528420912250DOI Listing

Successful treatment of persistent hiccups with myofascial trigger point dry needling: a case report.

Acupunct Med 2020 Jun 12:964528420920296. Epub 2020 Jun 12.

Department of Sport Medicine and Rehabilitation, Shanghai University of Sport, and Shanghai Ciyuan Rehabilitation Hospital, Shanghai, P.R. China.

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http://dx.doi.org/10.1177/0964528420920296DOI Listing

Neck associated factors related to migraine in adolescents with painful temporomandibular disorders.

Authors:
Jeong-Hyun Kang

Acta Odontol Scand 2020 Jun 12:1-9. Epub 2020 Jun 12.

Clinic of Oral Medicine and Orofacial Pain, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, Korea (ROK).

Migraine is a comorbidity of painful temporomandibular disorders (TMDs). Both migraine and painful TMD have associations with neck pain and head posture. The aim of this study was to clarify the role of neck pain and head posture on the association between migraine and painful TMD in adolescents. Read More

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http://dx.doi.org/10.1080/00016357.2020.1774649DOI Listing

Massage Therapy for Dystonia: a Case Report.

Int J Ther Massage Bodywork 2020 May 29;13(2):33-44. Epub 2020 May 29.

Department of Allied Health and Human Performance, MacEwan University, St. Albert, AB, Canada.

Background: Dystonia is a neurological disorder, characterized by involuntary muscle spasms and tremors, resulting in abnormal movements and posture. Symptoms include pain, spasms, tremors, and dyskinesia-a difficulty in performing voluntary muscular movements. Conventional treatments include medication, botulism injections, and surgical intervention. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260132PMC

Non-invasive Complementary Therapies in Managing Musculoskeletal Pains and in Preventing Surgery.

Int J Ther Massage Bodywork 2020 May 29;13(2):9-18. Epub 2020 May 29.

Sports Performance Assessment Research Rehabilitation Counselling (SPARRC) Institute, Tamil Nadu, and Indian Institute of Sports Medicine, (IISM), Tamil Nadu, India.

Background: Musculoskeletal disorders are disabling diseases which affect work performance, thereby affecting the quality of life of individuals. Pharmacological and surgical management are the most recommended treatments. However, non-invasive physical therapies are said to be effective, for which the evidence is limited. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260131PMC

The effect of vibration therapy on neck myofascial trigger points: A randomized controlled pilot study.

Clin Biomech (Bristol, Avon) 2020 Jun 3;78:105071. Epub 2020 Jun 3.

Department of Physical Therapy, University of Valencia, Gascó Oliag 5, 46010, Valencia, Spain. Electronic address:

Background: The purpose of this study was to evaluate the effect of low-frequency self-administered vibration therapy into myofascial trigger points in the upper trapezius and levator scapulae on patients with chronic non-specific neck pain.

Methods: Twenty-eight patients with chronic non-specific neck pain were randomly assigned into a vibration group, receiving 10 self-applied sessions of vibration therapy in the upper trapezius and levator scapulae trigger points; or a control group, receiving no intervention. Self-reported neck pain and disability (Neck Disability Index) and pressure pain threshold were assessed at baseline and after the first, fifth and 10th treatment sessions. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2020.105071DOI Listing

The Effect of extracorporeal shock wave therapy on pain intensity and neck disability for patients with myofascial pain syndrome in the neck and shoulder: a meta-analysis of randomized controlled trials.

Am J Phys Med Rehabil 2020 Jun 9. Epub 2020 Jun 9.

College of Pharmacy, Chung-Ang University, Seoul, Republic of Korea.

Objective: To investigate the efficacy of extracorporeal shock wave therapy(ESWT) on myofascial pain syndrome(MPS) in the neck and shoulder compared with that of other treatments.

Data Sources: PubMed, EMBASE and Web of Science were systematically searched until 30th May, 2019 to select randomized controlled trials(RCTs).

Review Methods: The RCTs comparing ESWT with sham-ESWT or other treatments for patients with MPS in the neck and shoulder patients were included. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001493DOI Listing

Evaluation of Sensory Mapping of Erector Spinae Plane Block.

Pain Physician 2020 Jun;23(3):E289-E296

Pain Medicine Unit Hospital Universitario San Vicente Fundación, Medellín, Colombia; Department of Anesthesia-Pain Medicine Fellowship Program, University of Antioquia, Medellín, Colombia.

Background: Erector spinae plane (ESP) block is an effective regional analgesic technique for thoracic and abdominal pain. The volume of local anesthetic (LA) needed to produce sensory block in the spinal segment is unknown.

Objectives: The aim of the present study was to examine the extent of dermatomal spread following ultrasound-guided administration of ESP block, with a fixed-volume dose of a LA at the midthoracic area for analgesia in acute thoracic pain patients. Read More

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Intermediate Cervical Plexus Block in the Management of Persistent Postoperative Pain Post Carotid Endarterectomy: A Prospective, Randomized, Controlled, Clinical Trial.

Pain Physician 2020 Jun;23(3):237-244

Department of life health & environmental sciences, University of L'Aquila.

Background: The mechanisms of persistent postoperative pain (PPP) with neuropathic features after carotid endarterectomy (CEA) are multifaceted and are incompletely understood.

Objectives: The aim of this research was to assess whether the ultrasound-guided (USG) intermediate cervical plexus block (ICPB) could provide better control of PPP and neuropathic disturbances (NPDs) after CEA than the USG superficial cervical plexus block (SCPB).

Study Design: Prospective, randomized, controlled, clinical trial. Read More

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Utilization of Botulinum Toxin for Musculoskeletal Disorders.

Curr Sports Med Rep 2020 Jun;19(6):217-222

Uniformed Services University of the Health Sciences, Bethesda, MD.

Rehabilitation from musculoskeletal injuries is challenging with multiple intrinsic and extrinsic factors influencing athletes, conditions, and length of recovery. Multidisciplinary treatment strategies aim to address pathophysiology, mechanical, and psychosocial factors of injuries. An essential element in the recovery from musculoskeletal injuries is pain control and the return of physiologic function. Read More

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http://dx.doi.org/10.1249/JSR.0000000000000720DOI Listing

Ultrasound-Guided Inactivation of Trigger Points Combined with Muscle Fascia Stripping by Liquid Knife in Treatment of Postherpetic Neuralgia Complicated with Abdominal Myofascial Pain Syndrome: A Prospective and Controlled Clinical Study.

Pain Res Manag 2020 17;2020:4298509. Epub 2020 May 17.

Central Laboratory, Baoshan District Hospital of Integrated Traditional Chinese and Western Medicine of Shanghai, Shanghai 201999, China.

Objective: To evaluate ultrasound-guided inactivation of myofascial trigger points (MTrPs) combined with abdominal muscle fascia stripping by liquid knife in the treatment of postherpetic neuralgia (PHN) complicated with abdominal myofascial pain syndrome (AMPS).

Methods: From January 2015 to July 2018, non-head-and-neck PHN patients in the Pain Department, The First Affiliated Hospital of Soochow University, were treated with routine oral drugs and weekly paraspinal nerve block for two weeks. Patients with 2 < VAS (visual analogue scale) score < 6 were subjects of the study. Read More

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http://dx.doi.org/10.1155/2020/4298509DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251458PMC

Acupuncture Combined with Trigger Point Injection in Patient with Chronic Myofascial and Referred Pain.

Bull Tokyo Dent Coll 2020 Jun 5. Epub 2020 Jun 5.

Department of Dental Anesthesiology, Tokyo Dental College.

Here, we report a case in which acupuncture combined with trigger point injection was effective in a patient with chronic myofascial pain with referred pain in the masticatory muscles. The patient was a 46-year-old woman with the chief complaint of chronic persistent pain in the region of the left mandibular first molar, which had been extracted 5 months earlier. Stellate ganglion block was performed and amitriptyline administered at another hospital, but were ineffective. Read More

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http://dx.doi.org/10.2209/tdcpublication.2019-0017DOI Listing

Effects of dry needling on pain, pressure pain threshold and psychological distress in patients with mild to moderate hip osteoarthritis: Secondary analysis of a randomized controlled trial.

Complement Ther Med 2020 Jun 18;51:102443. Epub 2020 May 18.

Department of Physiatrist and Nursey, Faculty of Health Sciencies, University of Zaragoza, c/Domingo Miral s/n, 50010, Zaragoza, Spain. Electronic address:

Objective: To determine the changes produced by dry needling in active myofascial trigger points in hip muscles compared to a sham needling on pain intensity, main pain area, pressure pain threshold and psychological distress in patients with hip osteoarthritis.

Design: Secondary analysis of a single-centre, randomized, double-blinded, clinical trial.

Intervention: 30 participants with mild to moderate hip osteoarthritis were randomly assigned to DN group (n = 15) or sham DN group (n = 15). Read More

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http://dx.doi.org/10.1016/j.ctim.2020.102443DOI Listing

A critical overview of the current myofascial pain literature - January 2020.

J Bodyw Mov Ther 2020 Apr 29;24(2):213-224. Epub 2020 Apr 29.

Myopain Seminars, Bethesda, MD, USA; New Orleans Pelicans, New Orleans, LA, USA. Electronic address:

We are starting 2020 with 6 basic research studies, 9 review articles, 14 dry needling/injection studies, and one manual therapy paper for a total of 30 new papers. Topics range from studies on mechanisms, inflammatory mediators in myofascial pain, fascia, screening, Platelet-rich plasma intramuscular injections, and temporal summation to clinical studies on patients with tension-type headache, chronic pelvic pain, knee osteoarthritis, plantar fasciitis, generalized musculoskeletal pain, neck pain, breast cancer, tendinopathies, thoracic outlet syndrome, and canine dry needling, among others. Read More

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http://dx.doi.org/10.1016/j.jbmt.2020.04.001DOI Listing

Sensory regulation and mechanical effects of sustained high intensity stretching of the anterior compartment of the thigh.

J Bodyw Mov Ther 2020 Apr 27;24(2):18-25. Epub 2020 Feb 27.

Le Gitalet, Route de La Vie Neuve, 39310, Septmoncel, France.

Background: Ballet dancers, contortionists, gymnasts, or other sportspeople spend long hours performing stretches while training. Although most studies on stretching consider fascia lengthening to be difficult, athletes manage to lengthen their fascia.

Aim: To assess the relationship between lengthening fascial structures of the anterior compartment of the thigh and the self-reported sensation of discomfort and pain during a sustained and repeated high intensity stretch. Read More

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http://dx.doi.org/10.1016/j.jbmt.2020.02.028DOI Listing

Consideration of pelvic floor myofascial release for overactive bladder.

J Bodyw Mov Ther 2020 Apr 6;24(2):144-150. Epub 2019 Nov 6.

Department of Obstetrics/Gynecology and Urology, Loyola University Chicago Stritch, School of Medicine and Loyola University Medical Center, United States.

Introduction: Physical therapy has been shown to be effective for women with overactive bladder (OAB). We report on our experience with pelvic floor physical therapy (PFPT) with or without myofascial release as treatment for women with symptoms of urinary urgency or urge incontinence.

Methods: We performed a retrospective chart review, of patients who presented to our tertiary care Urogynecology practice. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.10.018DOI Listing

Novel application of dry needling for neuropathic myofascial ankle pain and dysfunction following insidious integumentary infection: A case report.

J Bodyw Mov Ther 2020 Apr 1;24(2):138-143. Epub 2019 Nov 1.

Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY, USA.

Background: Dry needling (DN) was effectively applied to a patient whose primary complaint was hyperalgesia and decreased ankle function meeting criteria for neuropathic myofascial pain following an integumentary infection, skin grafting and immobilization.

Case Description: A 33-year-old male serving on active duty in the United States Air Force was referred to physical therapy for decreased ankle range of motion and pain, eight weeks after an integumentary infection on his ankle. The infection was complicated by tissue loss requiring skin grafting for closure. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.10.017DOI Listing

Massage therapy treatment and outcomes in a patient with Charcot-Marie-Tooth disease: A case report.

Authors:
Galit Paz

J Bodyw Mov Ther 2020 Apr 25;24(2):130-137. Epub 2019 Oct 25.

Grant MacEwan University, Massage Therapy Program, Canada. Electronic address:

Background: Charcot-Marie-Tooth (CMT) disease, a progressive hereditary peripheral neuropathy, leads to muscle weakness, wasting, and sensory and motor nerve deprivation. The two main types of CMT are CMT1 (demyelinating) and CMT2 (axonal). Initial findings include foot deformities and sensory changes with progression to altered gait, diminished reflexes, and muscle wasting and weakness. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.10.014DOI Listing

[Migraine in childhood and adolescence-neurostimulation as a future innovative approach in terms of a multimodal treatment regimen].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2020 Jun 5. Epub 2020 Jun 5.

Abteilung für Pädiatrische Neurologie, Entwicklungsneurologie, Sozialpädiatrie und LMU Zentrum für Entwicklung und komplex chronisch kranke Kinder - iSPZ Hauner, Dr. von Haunersches Kinderspital, LMU Klinikum, Lindwurmstr. 4, 80337, München, Deutschland.

Although migraine is a relevant health issue in children and adolescents, clinical care and research are still underrepresented and underfunded in this field. Quality of life can be significantly reduced when living with frequent episodes of pain. Due to the high level of vulnerability of the developing brain during adolescence, the risk of chronification and persistence into adulthood is high. Read More

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http://dx.doi.org/10.1007/s00103-020-03169-wDOI Listing

C4 radiculopathy misdiagnosed as myofascial pain syndrome in the upper trapezius.

Ann Palliat Med 2020 05;9(3):1275-1277

Department of Physical Medicine and Rehabilitation, Centre hospitalier de l'Université de Montréal, Montreal, Canada.

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http://dx.doi.org/10.21037/apm.2020.04.11DOI Listing

Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial.

J Clin Med 2020 Jun 1;9(6). Epub 2020 Jun 1.

Physiotherapy and Pain Group, University of Alcalá, 28871 Madrid, Spain.

Procedures such as dry needling (DN) or percutaneous electrical nerve stimulation (PENS) are commonly proposed for the treatment of myofascial trigger points (MTrP). The aim of the present study is to investigate if PENS is more effective than DN in the short term in subjects with mechanical neck pain. This was an evaluator-blinded randomized controlled trial. Read More

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http://dx.doi.org/10.3390/jcm9061665DOI Listing

Treatment of myofascial pain with a rapid laser therapy protocol compared to occlusal splint: A double-blind, randomized clinical trial.

Cranio 2020 Jun 3:1-7. Epub 2020 Jun 3.

Department of Stomatology, Federal University of Santa Maria , Santa Maria, RS, Brazil.

Objective: To compare the effect of a rapid low-level laser therapy (LLLT) protocol to Michigan occlusal splint in the treatment of myofascial pain, as well as to evaluate their impact on Oral Health-Related Quality of Life (OHRQoL).

Methods: Thirty participants were randomly allocated into three groups: G1: occlusal splint (n = 11), G2: LLLT (n = 10), and G3: LLLT placebo (n = 9). LLLT and placebo were applied in the points of pain upon palpation. Read More

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http://dx.doi.org/10.1080/08869634.2020.1773661DOI Listing

Rapid LLLT protocol for myofascial pain and mouth opening limitation treatment in the clinical practice: An RCT.

Cranio 2020 Jun 3:1-7. Epub 2020 Jun 3.

Department of Stomatology, Federal University of Santa Maria , Santa Maria, Brazil.

Objective: To evaluate the effect of a rapid treatment protocol of low-level laser therapy (LLLT) in patients with myofascial pain and mouth opening limitation.

Methods: Twenty patients were randomly allocated into the laser group (LG) (n = 10) and the placebo group (PG) (n = 10). Two LLLT sessions or placebo were performed. Read More

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http://dx.doi.org/10.1080/08869634.2020.1773660DOI Listing

Effects of Exercise and an Integrated Neuromuscular Inhibition Technique Program in the Management of Chronic Mechanical Neck Pain: A Randomized Controlled Trial.

J Manipulative Physiol Ther 2020 May 29. Epub 2020 May 29.

Laboratory of Neuromechanics, Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloníki, Agios Ioannis Serres, Greece.

Objective: The aim of this study was to evaluate the effect of adding the integrated neuromuscular inhibition technique (INIT) to therapeutic exercise (TE) in individuals with chronic mechanical neck pain (CMNP).

Methods: In this 34-week, assessor-blind randomized controlled trial, 40 participants (men and women) with CMNP with active or latent myofascial trigger points on the neck muscles were divided into 2 groups. The participants followed 4 treatments per week for 10 weeks. Read More

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http://dx.doi.org/10.1016/j.jmpt.2019.03.011DOI Listing

The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 2.

Authors:
Bruno Bordoni

Cureus 2020 Apr 23;12(4):e7795. Epub 2020 Apr 23.

Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA.

The article continues the anatomical review of the anterolateral myofascial connections of the five diaphragms in osteopathic manipulative medicine (OMM), with the most up-to-date scientific information. The postero-lateral myofascial relationships have been illustrated previously in the first part. The article emphasizes some key OMM concepts; the attention of the clinician must not stop at the symptom or local pain but, rather, verify where the cause that leads to the symptom arises, thanks to the myofascial systems. Read More

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http://dx.doi.org/10.7759/cureus.7795DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249764PMC

Description and classification of postpartum chronic pain: A multicentric prospective study.

J Gynecol Obstet Hum Reprod 2020 May 24:101769. Epub 2020 May 24.

Department of Gynecology-Obstetrics and Reproductive Medecine, 38 Boulevard Jean Monnet, 44000, Nantes, France; Pelvic Pain Center, Nantes, France. Electronic address:

Introduction: To classify persistent perineal and pelvic postpartum pain using the classification usually employed in chronic pelvic pain.

Material And Method: Prospective observational study including all women who have consulted an algologist or gynecologist at one of the six French centers for a chronic pain (superior or equal to 3 months) spontaneous linked by the mother with her childbirth were included. During semi-directed interviews, a questionnaire regarding sociodemographic factors and detailed questions about pain were collected. Read More

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http://dx.doi.org/10.1016/j.jogoh.2020.101769DOI Listing

Adverse events in dry needling and mesotherapy treatment for localized myofascial and muscoloskeletal pain.

J Biol Regul Homeost Agents 2020 Mar-Apr;34(2):705-707

University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy.

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http://dx.doi.org/10.23812/19-456-L-47DOI Listing

Erector spinae plane block for myofascial pain syndrome: only a short term relief?

Minerva Anestesiol 2020 May 22. Epub 2020 May 22.

Department of Surgery, Anesthesia and Intensive Care Section "G.B. Morgagni- Pierantoni" Hospital, Forlì, Italy.

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http://dx.doi.org/10.23736/S0375-9393.20.14523-1DOI Listing

Compression of Myofascial Trigger Points With a Foam Roller or Ball for Exercise-induced Anterior Knee Pain: A Randomized Controlled Trial.

Altern Ther Health Med 2020 May;26(3):16-23

Objective: The study aimed to evaluate the effectiveness of compression of myofascial trigger points (MTrPs) with a foam roller or ball, combined with static stretching of knee muscles, on exercise-induced, anterior knee pain in fitness runners.

Design: The research team designed a randomized controlled trial.

Setting: The study took place in the Department of Sports Medicine and Rehabilitation Center of the School of Kinesiology at Shanghai University of Sport in Shanghai, China. Read More

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Chest Trauma: Current Recommendations for Rib Fractures, Pneumothorax, and Other Injuries.

Curr Anesthesiol Rep 2020 15;10(1):61-68. Epub 2020 Jan 15.

2Consultant Anaesthetist, Intensive Care Physician & Director of Trauma Services, Wellington Hospital, Wellington, New Zealand.

Purpose Of Review: This article provides an overview of the common and important chest injuries that the anesthesiologist may encounter in patients following trauma including blunt injury, pneumothorax, hemothorax, blunt aortic injury, and blunt cardiac injury.

Recent Findings: Rib fractures are frequently associated with chest injury and are associated with significant pain and other complications. Regional anesthesia techniques combined with a multimodal analgesic strategy can improve patient outcomes and reduce complications. Read More

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http://dx.doi.org/10.1007/s40140-020-00374-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223697PMC
January 2020

Mechanisms of Dexmedetomidine in Neuropathic Pain.

Front Neurosci 2020 5;14:330. Epub 2020 May 5.

Department of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, China.

Dexmedetomidin is a new-generation, highly selective α2 adrenergic receptor agonist with a large number of advantages, including its sedative and analgesic properties, its ability to inhibit sympathetic nerves, its reduced anesthetic dosage, its hemodynamic stability, its mild respiratory depression abilities, and its ability to improve postoperative recognition. Its safety and effectiveness, as well as its ability to provide a certain degree of comfort to patients, make it a useful anesthetic adjuvant for a wide range of clinical applications. For example, dexmedetomidine is commonly used in patients undergoing general anesthesia, and it also exerts sedative effects during tracheal intubation or mechanical ventilation in intensive care unit patients. Read More

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http://dx.doi.org/10.3389/fnins.2020.00330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214625PMC

Effectiveness of Photobiomodulation in Temporomandibular Disorder-Related Pain Using a 635 nm Diode Laser: A Randomized, Blinded, and Placebo-Controlled Clinical Trial.

Photobiomodul Photomed Laser Surg 2020 May;38(5):280-288

Oral Medicine and Oral Surgery Department, University Institute of Health Sciences, CESPU, Gandra, Portugal.

We aimed to evaluate the efficacy of photobiomodulation (PBM), using an 635 nm diode laser, to provide pain relief for temporomandibular disorder (TMD). TMD involves a set of multiple clinical manifestations where pain is prevalent. Treatment ideally should be noninvasive and innocuous such as PBM. Read More

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http://dx.doi.org/10.1089/photob.2019.4730DOI Listing

The recovery of reaching movement in breast cancer survivors: two different rehabilitative protocols in comparison.

Eur J Phys Rehabil Med 2020 May 14. Epub 2020 May 14.

Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.

Background: Breast-cancer (BC) is the most common cancer in women in the developed world. The about the sequelae of surgery, especially in case of mastectomy or modified radical mastectomy is grown. Nowadays it's important choose appropriate exercise-programs to allow recovery in "quantity" but also in "quality" "of the movement of the operated upper-limb. Read More

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http://dx.doi.org/10.23736/S1973-9087.20.06138-9DOI Listing
May 2020
1.946 Impact Factor

Dry needling for spine related disorders: a scoping review.

Chiropr Man Therap 2020 May 11;28(1):23. Epub 2020 May 11.

University of Bridgeport College of Health Sciences, School of Chiropractic, 126 Park Avenue, Bridgeport, CT, 06604, USA.

Introduction/background: The depth and breadth of research on dry needling (DN) has not been evaluated specifically for symptomatic spine related disorders (SRD) from myofascial trigger points (TrP), disc, nerve and articular structures not due to serious pathologies. Current literature appears to support DN for treatment of TrP. Goals of this review include identifying research published on DN treatment for SRD, sites of treatment and outcomes studied. Read More

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http://dx.doi.org/10.1186/s12998-020-00310-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212610PMC

Ultrasound-guided rhomboid intercostal block effectively manages myofascial pain.

Korean J Anesthesiol 2020 May 12. Epub 2020 May 12.

Ataturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey.

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http://dx.doi.org/10.4097/kja.20211DOI Listing

Physical exam in the evaluation of bladder pain syndrome (BPS): A key component for differential diagnosis.

Arch Esp Urol 2020 May;73(4):281-292

Departamento de Urología. Hospital Universitario La Fe. Valencia. España.

Objectives: To describe in more detail the usual clinical practice regarding physical examination (PE) in Bladder Pain Syndrome (BPS) and to evaluate if the performance of PE relates to changes in severity of symptoms and in Health Related Quality of Life (HRQoL).

Material And Methods: Epidemiological, observational, national and multicentric study that included 319 patients with BPS (79 of new diagnosis and 240 in follow-up). Demographic and clinical data were collected. Read More

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